{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:10:06Z","timestamp":1791180606385,"version":"4.1.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2013,4,11]],"date-time":"2013-04-11T00:00:00Z","timestamp":1365638400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Background<\/jats:italic>\n                    . Neuropathic pain often follows spinal cord injury (SCI).\n                    <jats:italic toggle=\"yes\">Objective<\/jats:italic>\n                    . To compare the effect of repetitive transcranial magnetic stimulation (rTMS) applied over different motor cortex targets (hand vs leg area) versus sham stimulation on neuropathic pain and local neurophysiological changes in patients with SCI.\n                    <jats:italic toggle=\"yes\">Methods<\/jats:italic>\n                    . A total of 16 patients with complete or incomplete motor SCI and chronic neuropathic pain participated in a double-blind, cross-over randomized study. Three single sessions of sham or active rTMS (10 Hz, total of 2000 stimuli) were applied in random order over the hand or leg area with a minimal 2-week interval. The main outcome measures were the numeric rating scale for pain sensation and parameters derived from motor mapping of the first dorsal interosseous muscle, including maximal amplitude of evoked response as well as map area, volume, and location.\n                    <jats:italic toggle=\"yes\">Results<\/jats:italic>\n                    . rTMS applied to either the hand or the leg area, but not sham stimulation, induced a significant but equivalent reduction in pain for the first 48 hours postintervention (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .05). Participants with an incomplete lesion showed greater analgesia than those with a complete lesion (21% vs 3%, respectively;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .05). The main change observed for motor map measurements was an increase in corticospinal excitability after stimulation of the hand area (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .04) but not for the other conditions.\n                    <jats:italic toggle=\"yes\">Conclusion<\/jats:italic>\n                    . rTMS applied over the hand or leg motor cortex decreased neuropathic pain regardless of any change in cortical excitability, suggesting that the analgesic effect is not associated with local changes at the motor cortex level itself.\n                  <\/jats:p>","DOI":"10.1177\/1545968313484810","type":"journal-article","created":{"date-parts":[[2013,4,11]],"date-time":"2013-04-11T23:52:20Z","timestamp":1365724340000},"page":"636-643","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":99,"title":["Effect of Single-Session Repetitive Transcranial Magnetic Stimulation Applied Over the Hand Versus Leg Motor Area on Pain After Spinal Cord Injury"],"prefix":"10.1177","volume":"27","author":[{"given":"Fanny","family":"Jett\u00e9","sequence":"first","affiliation":[{"name":"Centre Interdisciplinaire de Recherche en R\u00e9adaptation et Int\u00e9gration Sociale (CIRRIS), Qu\u00e9bec, QC, Canada"},{"name":"Universit\u00e9 Laval, Qu\u00e9bec, QC, Canada"},{"name":"Institut de R\u00e9adaptation en D\u00e9ficience Physique de Qu\u00e9bec, Qu\u00e9bec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"C\u00f4t\u00e9","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Laval, Qu\u00e9bec, QC, Canada"},{"name":"Institut de R\u00e9adaptation en D\u00e9ficience Physique de Qu\u00e9bec, Qu\u00e9bec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadj Boumediene","family":"Meziane","sequence":"additional","affiliation":[{"name":"Centre Interdisciplinaire de Recherche en R\u00e9adaptation et Int\u00e9gration Sociale (CIRRIS), Qu\u00e9bec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Mercier","sequence":"additional","affiliation":[{"name":"Centre Interdisciplinaire de Recherche en R\u00e9adaptation et Int\u00e9gration Sociale (CIRRIS), Qu\u00e9bec, QC, Canada"},{"name":"Universit\u00e9 Laval, Qu\u00e9bec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,4,11]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"605","article-title":"Pain in patients with spinal cord injury","volume":"60","author":"Nepomuceno C","year":"1979","unstructured":"Nepomuceno C, Fine PR, Richards JS, . 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